Document Detail


Pancreaticoduodenal artery pseudoaneurysm embolization.
MedLine Citation:
PMID:  18258164     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report a case of successful transcatheter arterial embolization of a pancreaticoduodenal artery pseudoaneurysm (PSA) caused by erosion of the pancreatic pseudocyst content near pancreaticoduodenal arteries. A 55-year-old man was admitted to a local hospital for investigation of severe, stabbing epigastric pain confined to the upper abdomen. He had a history of previous alcohol abuse, chronic pancreatitis, and a duodenal ulcer. Upper gastrointestinal endoscopy revealed narrowing in the pyloric channel along with an ulcer located at the first and second portions of the duodenum with oozing beneath an adherent cloth and duodenal distortion. Computed tomography additionally revealed an enlarged head of the pancreas with numerous spot calcifications and round cystic formation inside, with a diameter of 30 x 25 mm. Following two surgical procedures for duodenal ulcers, selective angiography revealed a PSA located inside the pancreas head and high-grade stenosis > 90% of the celiac trunk and hepatic artery that rose separately from the aorta. Fiber coil embolization was used to occlude the PSA sac successfully. There was no complication after completion of the last embolic procedure. The patient was doing well after 26 months.
Authors:
Petar Popov; Dragan Sagic; Dragan Radovanovic; Zelimir Antonic; Dragoslav Nenezic; Djordje Radak
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Vascular     Volume:  16     ISSN:  1708-5381     ISO Abbreviation:  Vascular     Publication Date:    2008 Jan-Feb
Date Detail:
Created Date:  2008-02-08     Completed Date:  2008-08-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101196722     Medline TA:  Vascular     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  48-52     Citation Subset:  IM    
Affiliation:
Vascular Surgery Clinic, Dedinje Cardiovascular Institute, Belgrade, Serbia. popov1960@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Aneurysm, False / etiology,  radiography,  therapy*
Duodenum / blood supply*
Embolization, Therapeutic / methods*
Humans
Male
Middle Aged
Pancreas / blood supply*
Pancreatic Pseudocyst / complications

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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